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468 NE 100 St (11)Date 12 =20 -00 Job Address 468 N.E. 100th Street Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant Robert L. Burgess Master Permit # vgogi Owner's Address 468 N.F. 100th Street, Mimi, Fl 33138 Phone 305 - 759 -2578 contracting co. Coastal Plumbing Co. of Miami Qualifier Robert E. Brincefield swot CFCO -19042 Municipal # 6264 Competency # 6264 Ins. Co. Col l i nswoth, Alter Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Replace existing electric water heater Square Ft. Estimated Cost (value) $200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. � Signa Notary as to Owner and/or My Commission Expires: FEES: PERMIT (p O APPROVED: Zoning Mechanical e of owner and/or Con PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /�2dq'00 President Patricia Stover '.: MY COMMISSION # CC139914 EXPIRES June 28, 2003 JDED THRU TROY FAIN INSURANCE, INC. esident Date RADON 00 Address C.C.F. 4 d NOTARY n Electrical No 285 N.E. 185th Street SS# Phone 305 - 651 -4429 Signature of Contractor or Owner - ifilder Notary as to Contractor •r Owner- Builder . My Commission Expires: ;$:° p* Patricia Stover MY COMMISSION # CC839914 EXPIRES • June 28, 2003 B ONDEDTHRUTROYFAININSURANCE, INC — BOND 24e TOTAL DUE 4 2 1/00 f� Da e O b D t m 60 Structural Engineer ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) UNIT 1 FEE 1 ITEM SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN MPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 HP MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 FP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25-100 HP MOTORS OVER 100 HP A/C WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA TELEVISION OUTLETS VIOLATION REINSPECTION UNIT FEE ITEM SPACE HEATERS CENTRAL HEATING A/C (WIN)) A/C (CENTRAL) DUCT WORK REFRIGERATION UNIT PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION FEE ITEM PLUMBING BATH TLB BIDET DISHWASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE ;EWER CONNECTIONS ITILITY -SEWER TILITY -WATER EPTIC TANK ELAY RAINFIELO, 4' TILE/RES. U)P & ABANDON SEPTIC TANK OAKAGE PIT CU. FT. UCH BASIN ISCHARGE WELL IMESTIC WELL tEA DRAIN )OF INLET 1LAR WATER HEATER RE STANDPIPE OL PIPING WN SPRINKLER SYSTEM S RANGE TER SET (GAS) 3 PIPING ELECTRICAL MECHANICAL �t. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date i • 2 \ •T' Job Address 4CA N E in ST: Tax Folio Legal Description Historically Designated: Yes No ` — / Tenant 5< 721. FSS PAZ' 2t GI r} Phone 15 Address Qualifier D-CNMS W SS# Owner's Address 4 (o$ 1 j £ • (00 S-r Contractin Co. M iwir ' stki Ee--, P State # G)cQ 1,9'l --LJ Municipal # Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRIC WORK DESCRIPTION WA '5 iz ll ti0 Address Master Permit # Phone gong' Address Address MECHANICAL ROOFING PAVING FENCE ' ,SIGN , ` 1 (mac t Square Ft. Estimated Cost (value) 2;2-0 ,00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -wed contractor to do the work stated. ignature1 •f owner and/or Condo Commission Ex ires: c�pA P Kristen Woodg@gt ° nft ° Notary Public State; , Cor. n` P['1�1artija < < 8 49369 < r or f), My COTaraNgea ItvIres 89/05/99 I. 800.3- NOTARY • Fla Nouuy Service & Bonding Co. etwee {(( teaft c 'lG&Weretweelrrrrrrrlrreeeettrr .3 3 RADON C.C.F. APPROVED: Zoning Building Mechanical esident Date / / / /� X997 Not , as to Owner and/or Condo Pres ent ate FEES: PERMIT Signature f Contractor or Owner- Buil3er di n/A Lb/ / ' / i d M ommission Exp t ` ������� " ���� te � IG isten d6' g { .1,- 1" Notary ; �,o Commission Public, S_t land at'a of I; • e ' O F My Commission No. 499893 1-500 -3- NOTARY - 0.0660 Fla. Mote.ry eerrreeereee t(ege(Weetweeeeeeer Co. i NOTARY 257 M IA-M1 2-44-4.4 1 / 2 / 9 7 Date ate BOND TOTAL DUE 3 6 go ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIlO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 fP MECHANICAL VENTILATION SINK, RESIDENCE MOTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS 1 TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE j SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTUiES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS _ DRAINFIELO, 4' TILE/RES. VIOLATION PUMP 5 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER - FIRE°STANDPIPE POOL PIPING LAWN'SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Amount of Permit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING t,;: MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address G. A. Carlson No ._ __1.1,______.___._________ Street N. E. 100th bt. Registered Architect and /or Engineer _ _ - _-- �-_ ------ ---- _---- ---- __ - - Employing Plumber's Name s, _ Inc,______ No.__�_o __PDX 1 6 C oral Gables, Fla P _ — _ -- -- Street -_ _ _ - Location and Legal Description Lot______ _- _________ _ — ..— Block Street and Number where work is to be performed —No 1168 State work to be performed and purpose of building (By Floors) _._._____________ Type of Tank ---------- - - -_ -- -die gla�_�_1QQ- �ra1.__SQ1ar__Tank Size of Soakage Pit _ (Signed) _ 1 r j Street Size Septic Tank Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Date 4/ New Building _ ___ Remodeling _ ____ _ Addition_______ .__________ Repairs No. of Stories. _ Capacity Gals Plut{ Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppl a ent, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by i,him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorfced to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath de�Oses and . says that he is the of the above described construction, that he has.;carefully read the ffffffokkkkkkegoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made then such re- inspection is made • necessary by improper notice for inspection, or faulty materials and /or worlananship. Subdivision __--- • -___ -- N, E. 100th Street Master Plumber. CLOSETS BATH S T Tints SHOWERS LAVA- TORIES NK SINKS SINKS SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST -- - -- i CHECK Amount of Permit My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING t,;: MIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address G. A. Carlson No ._ __1.1,______.___._________ Street N. E. 100th bt. Registered Architect and /or Engineer _ _ - _-- �-_ ------ ---- _---- ---- __ - - Employing Plumber's Name s, _ Inc,______ No.__�_o __PDX 1 6 C oral Gables, Fla P _ — _ -- -- Street -_ _ _ - Location and Legal Description Lot______ _- _________ _ — ..— Block Street and Number where work is to be performed —No 1168 State work to be performed and purpose of building (By Floors) _._._____________ Type of Tank ---------- - - -_ -- -die gla�_�_1QQ- �ra1.__SQ1ar__Tank Size of Soakage Pit _ (Signed) _ 1 r j Street Size Septic Tank Feet of Drain Tile_ _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well. Date 4/ New Building _ ___ Remodeling _ ____ _ Addition_______ .__________ Repairs No. of Stories. _ Capacity Gals Plut{ Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Suppl a ent, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by i,him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorfced to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath de�Oses and . says that he is the of the above described construction, that he has.;carefully read the ffffffokkkkkkegoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made then such re- inspection is made • necessary by improper notice for inspection, or faulty materials and /or worlananship. Subdivision __--- • -___ -- N, E. 100th Street Master Plumber. BUILDING ❑ ELECTRICAL o ❑ PLUMBING : ❑ ROOFING Owner of Building cn i Architect Contractor CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 8372 or Builder G i' i 1 Legal Lot I Bl. Description Address of x f� Building ' ' Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. , BY DATE 1954_ Contractor's License No 1 *� Amt. of Permit $ Signed • a` ° ", . e BY BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY ;UILDING LECTRICAL 'LUMBING IOOFING )caner of luilding t' Irchi tect =on tractor Jr Builder .egal )escription Iddress of ; uilding MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6612 0 Lot B1 Work to be performed under this Permit Subdi- vision Value of Project $ INSPECTOR DATE l° Contractor's License No. Amount of Permit $ E This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge ofotlib ordinances and regulations , ertaining to the work covered hereby whether shown on the plans or draws or in the stpt�ements or specifications and that assumes responsibility for work one by his agents, servants or employees. j i �* /r Signed- n - - BY " fi In consideration of the issuance to me of this permit I agree to perform the work covered h eeunder in compliance with all ordinanceskgnd regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications subxp ted to the proper authorities of Miami Shores Village. In ac• epting this permit I assume responsibility for all work done by either, myself, mygent, servant / or rnployee. ~ / CONI OR BUILDER , / BY / AUTHORITY d 6'REF,: Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ............ Registered Architect and /or Enginee Employing Plumber's Name Street-. Location and Legal Description Lot_____.._.._____.___.____..__ _ — Block / Subdivision Street and Number where work is to be performed —No s. . ec ! �© Street State work to be performed and purpose of building (By Floors) _-------------•--------_._.. New Building —_ Remodeling —___ __.____ Addition..____._.__ Repairs No. of Stories ... ............... Size Septic Tank - Feet of Drain Tile ( Nature of Water Supply: City — Well._______ _- .... _______ ... •_- _______ -__ -Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. j Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' hiMi No. Street e of Tank Capacity Gals. t. Feet of Tank or Drain Field from Well _ ( Signed)---- -••- ---•- -- --•• The undersigned applicant for this building permit does hereby certify that he understands and accepts his • . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date Notary Public, State of Florida Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tu a URINALS I AS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM•0 POOL CONTR. LIST CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ............ Registered Architect and /or Enginee Employing Plumber's Name Street-. Location and Legal Description Lot_____.._.._____.___.____..__ _ — Block / Subdivision Street and Number where work is to be performed —No s. . ec ! �© Street State work to be performed and purpose of building (By Floors) _-------------•--------_._.. New Building —_ Remodeling —___ __.____ Addition..____._.__ Repairs No. of Stories ... ............... Size Septic Tank - Feet of Drain Tile ( Nature of Water Supply: City — Well._______ _- .... _______ ... •_- _______ -__ -Size of Soakage Pit STATE OF FLORIDA, COUNTY OF DADE. j Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ' hiMi No. Street e of Tank Capacity Gals. t. Feet of Tank or Drain Field from Well _ ( Signed)---- -••- ---•- -- --•• The undersigned applicant for this building permit does hereby certify that he understands and accepts his • . igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date Notary Public, State of Florida Plumbing Inspector. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Village of Miami Shores N° 3930 JOB S 44 ADDRESS • 44 V " /4 . Sr INSPECTION 7 2 a - L,to TIME READY REMARKS r INSPECTOR DATE 3 °/'';- KUILDING :LECTRICAL 'LUMBING ;OOFING ?wner of luilding PERMIT N? 3377 iachitect contractor >r Builder .egal Lot Description 1ddress of ; uilding MIAMI SHORES VILLAGE. FLORIDA 4. DATE Contractor's License No. 195 Work to be performed under this Permit Bl. Subdi- vision Value of Amount of Project $ II Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application lerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, :rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any :me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is :ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations , ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed- BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ems, MUILDING LECTRICAL 'LUMBING GOOFING ? wner of kuilding PERMIT N? . 3377 Irchitect ontractor )r Builder .egal Lot )escription zddress of wilding ' CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Work to be performed under this Permit B1 Subdi- vision Value of Project $ DATF Contractor's License No This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application rerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, :rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ;me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is :ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations .ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. Signed. BY - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Amount of Permit $ 195 MIAMI SHOflS VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit _ Date 3/13/56 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and No. 468 Registered Architect and/or Engineer_ Employing Plumber's Name Girrertinlustriess_Ine,_ N 4112 Location and Legal Description Lot_____ . Block Street and Number where work is to be performed—No. 468 State work to be performed and purpose of building (By Floors)_ New Building Remodeling__ Size Septic Tank Amount of Permit 24.0 STATE OF FLORIDA, es. COUNTY OF DADE. (Signed)_ (Signed). Street N. E. 100th St. : St. C. Gables atree - 6 - 3 - 51, °- Subdivision Street N. E. 100th St. iffami Sh Repairs No. of Stories Type of Tank Capacity Gals Feet of Drain Tile- Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and_take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE SOLAR DEEP TRAP HEATER WELL SPRKLR. SYSTEM SW I M G POOL CONTR . LIST CHECK 1 OO —G.1. Solar 'rink Replaoeinent MIAMI SHOflS VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit _ Date 3/13/56 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and No. 468 Registered Architect and/or Engineer_ Employing Plumber's Name Girrertinlustriess_Ine,_ N 4112 Location and Legal Description Lot_____ . Block Street and Number where work is to be performed—No. 468 State work to be performed and purpose of building (By Floors)_ New Building Remodeling__ Size Septic Tank Amount of Permit 24.0 STATE OF FLORIDA, es. COUNTY OF DADE. (Signed)_ (Signed). Street N. E. 100th St. : St. C. Gables atree - 6 - 3 - 51, °- Subdivision Street N. E. 100th St. iffami Sh Repairs No. of Stories Type of Tank Capacity Gals Feet of Drain Tile- Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and_take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made.necessary by improper notice for inspection, or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ERMIT N? 5157 Work to be performed under this Permi Building � `�� / t d+ � Q-$ �� • Owner of Architect Contractor or Builde Legal Description Address of Building This permit is granted MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's cense No. ""V_194 escribed in the appli- o the contractor or builde amed above to construct the building or to install the equipment or i evice cation herefor in strict compliance with all ordinances �'rtaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked • at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above ass e e respo ' sibility fir a thorough knowledge of the ordinances and taten Lets o eb ifications and that he assumes respon- regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servant or,employees. / � J" 411111111100' ; i ' Signed. / ( / �I� /' � ' B i N9. ,.,.. In consideration of the issuance to me of this permit I agree to perform th work covered }t eunder in compliance with all ordinance and regulations pertaining ' ereto and in strict cgi formity with the plans, .'awings, statements or specificationeasubmitted to the proper au itties of M' !, i Shore Village. In acce this permit I assume responsibility for all wo . done by either myself, my agent, servant or employee. i CONTRACTQt OR BUILDER AUTHORITY UILDING LECTRICAL LUMBING wrier of G Work to be performed under this Permit "ttr ; 1, .,,04_ ; rchitect ontractor / Builder r .> W '..' •t•t. C•• egal Lot Bl. escription MIAMI SHORES VILLAGE, FLORIDA r DATE 4 J f4. b 1942 f PERMIT N° 5374 Contractor's License No ' `' C / U Subdi- vision ddress of - Value of h G ` Amt. of uilding i % /G' / N- Project / „ S %, Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- .tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans aze.changpd withdut authorization. A further condition upon which this rmit is granted is the understanding that the contractor or builder named above assuh "nes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings or`in the statements or and that he assumes respon- nlity for work done by his agents, servants or employees. ' . t Signed: t ss ' By / INSPECT In consideration of the issuance to me of this permit I agree to perform the work overetl"hereurr er in compliance with all ordinances and regulations !rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either,myse4 my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Legal Description CONTRACTOR OR BUILDER i MIAMI SHORES VILLAGE, FLORIDA oe , DATE N° 5257 1. Work to be performed under this Permite` i t � , i " . {., 1 Owner of ; ' , ` 'i - i,. : iv Building Architect Contractor( ' or Builder 44 .-- ! ,, Lot / ! Bl. i Subdi- vision Contractor's License No BY AUTHORITY Address of / 4 . �,.,.. Value of Amt. of f Building `" � . / i / / '.- � % : t • Project Permit . `• This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are_phanged, without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumms the responsibility f6r a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans.er drawings or it} the statements or specifications and tl_ r�..t he as umes respon- sibility for work done by his agents, servants or employees. — r- Signed c By ni • I' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covepedTereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Legal Description In consideration of the issuance to me of this permit pertaining thereto and in strict conformity with the plans, In accepting this permit I assume_responsibility for all wor 4• d CONTRACTOR' OR BUILDER Work to be performed under this Permi MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 5157 Signed. Subdi- vision BY DATE Contractor's License No. '.'V . ."194 ■ Contractor or Builder 1 ' o�+04-1111 , �r'""O�14"° " Lot v 0,71• 3 Bl. i Address of i/ V a Per '"! ue of f f fi _,,,.,.�. Building r / , + Project Permit �'"f /" This .pen it is granted t t e contractor or builders "amed above to construct the building or to install the equipment or evice escribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without autl� A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes e respo ibility f a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or . ..�� • fir. statem- is or .$ 'fications and that he assumes respon- sibility for work done by his agents, servants or employees. ' ��r+l rI . I agree to perform the work covered hereunder in compliance with all ordinance nd regulations drawings, statements or specificationsoubmitted to the proper authorities of Midi Shores Village. done by either myself, my agent, servant or employee. r AUTHORITY BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or.not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address_____ a ~ I -SO l Registered Architect and /or Engineer Name and address of licensed contractor___ j944 et 1 , d Location and legal description of lot to be built on: Lot Block Subdivisio Street and Number where work is to be done State work to be done and purpose of building (by floors) __ New 1 ' -g ✓ Remodeling "Addition_ To be constructed of Kind of foundatiop Roof Covering Estimated Total cost of improvements $ 3 c-) Zone cubage required Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby mit all the plans and specification for sai building. All notices with reference to the bu ding and its construction may be sent to- I 1 .4 eP ilg.0 i - S U i^-i N ie k' '3'701 /✓. a .414 n V e.. 17J 7 2 5 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ntractors, on work .to be performed under this permit, as are licensed by Miami Shores Village. - Remarks (Signed) _ Permit No MIAMI SHORES VILLAGE Date dL itr_la_s3 0 A b ire ' �t C% , ti � �: j am` C y 4) Date J ` , z A 19 f7 No 1 Street /b / £ 1' Disapproved Date (Signed) S ?tol e, l le,P' / S Repairs No. of Stories Amount of Permit $_ Plan Cubage 7 ®I Notary Public, State of Florida Read, Sworn to and Subscribed before me. = c e and for no other purpose. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. e Building Inspector My Commission Expires • PLANNING BOARD DATE , Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No �? c ` 3 .? MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_: _ 7/ _ 3.4 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at r 1 building during progress of work. • i /9. CARL L SO4l No Street_ --A/0 -_ -! 6CV r • Owner's Name and Address Register @ch' ect /or Engineer � _- aek EEmp oymg 2 "� /-- -L.eI1 . _ _ No Street Location and Legal Description Lot // Block Street and Number where work is to be performed—No .___ -- _ Lf! .._� State work to be performed and purpose of building (By Floors) Z New Building Remodeling Addition_ Street Subdiv'sion Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well SD Size of Soakage Pit Nature of Water Supply: City— Welelw. a40 Amount of Permit $__ _— __— ________ —__ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. ss. ( Signed )4. Q. ' , My Commission Expires Notary Public, State of Florida 74-111Pottn_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No �? c ` 3 .? MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_: _ 7/ _ 3.4 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subn ed for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at r 1 building during progress of work. • i /9. CARL L SO4l No Street_ --A/0 -_ -! 6CV r • Owner's Name and Address Register @ch' ect /or Engineer � _- aek EEmp oymg 2 "� /-- -L.eI1 . _ _ No Street Location and Legal Description Lot // Block Street and Number where work is to be performed—No .___ -- _ Lf! .._� State work to be performed and purpose of building (By Floors) Z New Building Remodeling Addition_ Street Subdiv'sion Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well SD Size of Soakage Pit Nature of Water Supply: City— Welelw. a40 Amount of Permit $__ _— __— ________ —__ (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, t COUNTY OF DADE. ss. ( Signed )4. Q. ' , My Commission Expires Notary Public, State of Florida 74-111Pottn_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS C LOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM 'G POOL CONTR. LIST / CHECK MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT / r APPLICATION FOR PLUMBING PERMIT Permit No v / Application is hereby made r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. T is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work Owner's Name and Address ___zer r Registered Architect and /or Engineer _Kane Employing Plumber's Name Size Septic Tank Feet of Drain Tile Amount of Permit $_ ss. /9 CA,eLS'J)' 71 -' /O N. E. Giffen ltoofing Co. Location and Legal Description Lot__ Street and Number where work is to be performed —No 468 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs Type of Tank . Capacity Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit The undersigned applicant for this building permit does hereby ce under the Florida Workmen's Compensation Act, being Section 5966, plied with the provisions thereof, and will require similar compliance performed under this permit: and will post or cause to be posted for required by the Act. The under signed agrees to employ only such licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly My Commission Expires No ]O833 Street No 236 txpraon Street Coral Gables Block Subdivision________________ __________ street N. E. 100th st . _(Signed) O Plumbing Inspector. rtify that he understands and accepts his obligations as an employer of labor Compiled General Laws of Florida Permanent Supplement, and has com- from all contractors or sub - contractors employed by him in the work to be inspection on the site of the work such public notice or notices as are sub - contractors, on or to be , o , ed under this pf rmit, as are (Signed � D e Date 4/11/47 . C. tt a Pres. Giffen two O ng Co. appeared authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _______ Q9_1_'�",raC'�Or - - - -------------- of the above described construction, that he has carefully read the foregoing application, and that he did ign the same, and that all facts therein by him stated are true. Notary Public, State of Florida nd --- lac e No. of Stories 1 NOTE: A re- inspection fee of $1.00 will be made when such re-inspect i' is made necessary by improper notice for inspection, or faulty materia's and /or workmanship. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ ss. Street and Number where work is to be performed —No Size Septic Tank 1 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name ____ _ _ s `_�_t:_________. Location and Legal Description Lot ' £ � 3 3____ — Block (9 Street No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Type of Tank_ Capacity Gals. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) Date J — i 0 %. " I_Y No )2 4 Street �' 5�1d Street_____ Subdivision__ .i e '7t My Commission Expires Notary Public, State of Florida C Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ) COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST \� I)� K. CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Feet of Drain Tile Nature of Water Supply: City —Well Amount of Permit $ ss. Street and Number where work is to be performed —No Size Septic Tank 1 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Registered Architect and /or Engineer Employing Plumber's Name ____ _ _ s `_�_t:_________. Location and Legal Description Lot ' £ � 3 3____ — Block (9 Street No. State work to be performed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories Type of Tank_ Capacity Gals. Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit (Signed) (Signed) Date J — i 0 %. " I_Y No )2 4 Street �' 5�1d Street_____ Subdivision__ .i e '7t My Commission Expires Notary Public, State of Florida C Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, ) COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No Amount of Permit $_ Application is hereby m�e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describ d. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ 6. Registered Architect and /or Engi eer Employing Plumber's Nam ___ __ Q/Ci_GL . r e2 f 0 /1 ' No i 777 Streets ) •- Li c _w Location and Legal Description Lot_$___ l __ _3 Block 1 Subdivision___' -r- 'SZ t Street and Number where work is to be performed —No — 8 A__ __ Street_1i/. .-/ e °r . State work to be perfor ed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories 40 Feet of Drain Tile Nature of Water Supply: City —Well STATE OF FLORIDA, t COUNTY OF DADE. sS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1_le°- - No. __i128 Size Septic Tank Type of Tank Capacity Gals C _Dist. Feet of Tank or Drain Field from Well li Size of Soakage Pit (Signed) ' t'` Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or s 1)-contractors em yed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site f the work suc •p iblic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be p ormed under this permit, as are licensed by Miami Shores Village. (Signed a • Date ` 1/ Street__ Notary Public, State of Florida ? /!,/- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. Cr /f �(� 2 4 / , — CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL j' !�✓ 6 I' CONTR. ST LIST CHECK Permit No Amount of Permit $_ Application is hereby m�e for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describ d. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ 6. Registered Architect and /or Engi eer Employing Plumber's Nam ___ __ Q/Ci_GL . r e2 f 0 /1 ' No i 777 Streets ) •- Li c _w Location and Legal Description Lot_$___ l __ _3 Block 1 Subdivision___' -r- 'SZ t Street and Number where work is to be performed —No — 8 A__ __ Street_1i/. .-/ e °r . State work to be perfor ed and purpose of building (By Floors) New Building Remodeling Addition____ Repairs No. of Stories 40 Feet of Drain Tile Nature of Water Supply: City —Well STATE OF FLORIDA, t COUNTY OF DADE. sS. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1_le°- - No. __i128 Size Septic Tank Type of Tank Capacity Gals C _Dist. Feet of Tank or Drain Field from Well li Size of Soakage Pit (Signed) ' t'` Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permane pplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or s 1)-contractors em yed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site f the work suc •p iblic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, o work to be p ormed under this permit, as are licensed by Miami Shores Village. (Signed a • Date ` 1/ Street__ Notary Public, State of Florida ? /!,/- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. • s